Nickholas Grant, PHD in Orange, CT - Medicare Clinical Psychologist Provider

Nickholas Grant, PHD is a medicare enrolled "Psychologist - Clinical" provider in Orange, Connecticut. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Northeast Neuropsychology Llc and his current practice location is 6222 Avalon Dr W, Orange, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 701-6047.

Nickholas Grant is licensed to practice in Connecticut (license number 4836) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336967264.

Contact Information

	Nickholas Grant, PHD
	6222 Avalon Dr W, Orange, CT 06477-3684
	(203) 701-6047
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nickholas Grant
Gender	Male
Speciality	Clinical Psychologist
Experience	6 Years
Location	6222 Avalon Dr W, Orange, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nickholas Grant graduated from medical school in 2020

NPI Data:

NPI Number: 1336967264
Provider Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4183112105
Enrollment ID: I20251022001436

Medical Identifiers

Medical identifiers for Nickholas Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336967264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4836 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Neuropsychology Llc	3375602931	18

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nickholas Grant is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nickholas Grant, PHD 2389 Main St Ste 100, Glastonbury, CT 06033-4617 Ph: () -	Nickholas Grant, PHD 6222 Avalon Dr W, Orange, CT 06477-3684 Ph: (203) 701-6047

Reviews and Comments

Psychologist in Orange, CT

Dr. Alexis Diana Grant, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Edison Rd, Orange, CT 06477 Phone: 973-214-1951
Eric D Jackson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35 Old Tavern Rd, Suite 103, Orange, CT 06477 Phone: 203-701-9666
Helen Sackler, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 370 Boston Post Rd Ste 3, Orange, CT 06477 Phone: 203-988-1915 Fax: 203-298-4563
Dr. Melanie Watkins Fischer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Edison Rd, Orange, CT 06477 Phone: 203-508-7723
Dr. Judy Lynne Perlman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 378 Boston Post Rd, Orange, CT 06477 Phone: 203-799-0845 Fax: 203-397-9518
Jamsine Ramirez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Derby Ave, Orange, CT 06477 Phone: 860-613-9930

Nickholas Grant, PHD - Medicare Psychologist in Orange, CT